Mr. Kennith Wayne Fowler, CP60311706
Mr. Kennith Wayne Fowler, CP60311706 is an Addiction (Substance Use Disorder) Counselor in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
901 Rainier Ave SSeattle, WA 98144-2839
Phone: (206) 470-3856
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CP60311706 (WA) |
|---|
Record details
| NPI number | 1578160610 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CP60311706 |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2020 |
| Last updated in NPPES | October 1, 2020 |
| Certification date | October 1, 2020 |
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